Eliciting Values of Patients with Multiple Chronic Conditions: Evaluation of a Patient-centered Framework

AMIA Annu Symp Proc. 2018 Apr 16:2017:430-439. eCollection 2017.

Abstract

Patients with multiple chronic conditions often face competing demands for care, and they often do not agree with physicians on priorities for care. Patients ' values shape their healthcare priorities, but existing methods for eliciting values do not necessarily meet patients ' care planning needs. We developed a patient-centered values framework based on a field study with patients and caregivers. In this paper we report on a survey to evaluate how the framework generalizes beyond field study participants, and how well the framework supports values elicitation. We found that respondents frame values in a way that is consistent with the framework, and that domains of the framework can be used to elicit a breadth of potential values individuals with MCC express. These findings demonstrate how a patient-centered perspective on values can expand on the domains considered in values clarification methods andfacilitate patient-provider communication in establishing shared care priorities.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Comorbidity
  • Female
  • Health Care Surveys
  • Humans
  • Male
  • Noncommunicable Diseases / therapy*
  • Patient Preference*
  • Patient-Centered Care*